| Mercy Capitol East Des Moines Clinic | |
|
623 E 12th St Des Moines IA 50309-5515 | |
| (515) 265-5355 | |
| (515) 265-1551 |
| Full Name | Mercy Capitol East Des Moines Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 623 E 12th St, Des Moines, Iowa |
| Authorized Official Name and Position | David Swieskowski (VICE PRESIDENT) |
| Authorized Official Contact | 5156437150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Capitol East Des Moines Clinic Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 643-4374 | Mercy Capitol East Des Moines Clinic 623 E 12th St Des Moines IA 50309-5515 Ph: (515) 265-5355 |
| NPI Number | 1215950142 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 02/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215950142 | NPI | - | NPPES |
| 0420323 | Medicaid | IA | |
| CD3776 | Other | IA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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